Managed Database Services Cut Risk and Costs for HCD

Organization Description 

Home Care Delivered (HCD) is a nationwide provider of medical supplies and home health essentials, founded in 1996 with a mission to simplify care for patients and caregivers. By managing insurance claims, coordinating with physicians, and ensuring the timely delivery of supplies, HCD has streamlined a complex process into a patient-first experience. 

As HCD scaled rapidly to meet growing healthcare demands, its IT environment became increasingly complex, including SQL Server, Linux, legacy systems, and Azure, all interfacing with multiple third-party applications. All without a dedicated DBA. HCD was growing, and its environment needed to keep up. They needed a partner who could deliver database performance, security, and scalability while keeping costs predictable. 

Client Challenge 

HCD’s lean IT team faced high-stakes challenges common in healthcare IT: 

• Critical application uptime: Downtime in healthcare directly impacts operations and revenue. Planned upgrades and routine maintenance carried real business risk. 

• Performance bottlenecks: Multiple third-party applications and reporting queries were slowing production systems, creating inefficiencies and delays. 

• Limited internal DBA expertise: No full-time DBA meant all upgrades, security patches, and optimizations relied on a small team juggling multiple responsibilities. 

• Cost constraints: Scaling support internally would require hiring senior DBAs, which is expensive and difficult to justify for a mid-sized footprint. 

The organization needed a solution that ensured uptime, improved performance, and delivered enterprise-level expertise without adding headcount. 

Solvaria’s Approach 

HCD turned to Solvaria for managed database services, gaining senior-level expertise and 24×7 support across SQL Server, Azure, and hybrid systems. By acting as an extension of HCD’s IT team since 2016, Solvaria delivered:

• Enterprise-level expertise, cost-efficient model: Instead of hiring a full-time DBA, HCD accessed 24×7 support from senior DBAs with deep experience across all major platforms, including SQL, Linux, and Azure, delivering broader knowledge and faster problem resolution at a fraction of the cost. The Solvarians leverage deep institutional knowledge at HCD. The same core technical team of data experts has provided solutions for HCD since 2016. 

• Minimal-downtime upgrades: Solvaria has executed multiple SQL Server upgrades for HCD with meticulous planning. By working alongside HCD, the most recent upgrade was completed in under two hours, ensuring critical healthcare applications remained online. 

• Optimized reporting strategy: Production server load was reduced by implementing a cost-effective Azure reporting server, allowing non-critical reporting to run one day behind. This solution balanced performance, uptime, and budget constraints.  

• Proactive performance tuning: Solvaria identified slow queries in third-party applications, collaborating with vendors to optimize performance and prevent recurring bottlenecks. 

• Flexible coverage across technologies: HCD gained comprehensive support across multiple platforms without the overhead of additional staff, ensuring round-the-clock availability. 

Overall Impact  

With Solvaria’s managed database services, HCD achieved measurable business outcomes:

• Reduced risk and improved uptime: Critical upgrades and maintenance were completed without extended downtime, safeguarding patient care and revenue streams. 

• Cost savings vs. in-house hires: By partnering with Solvaria, HCD avoided the high cost and recruitment challenges of senior DBA talent.

• Improved application and reporting performance: Optimized queries and load distribution ensured faster, more reliable operations. 

• Scalable support that grows with the business: Solutions adapted to HCD’s expanding infrastructure without requiring additional headcount or licensing costs. 

• Reduced risk and downtime. Critical upgrades and maintenance were completed without extended outages, protecting patient care and revenue.

Conclusion 

By outsourcing database administration to Solvaria, HCD secured enterprise-level support, cost savings, and operational confidence, all without expanding internal staff. The partnership demonstrates that mid-sized organizations can maintain high-performing, secure, and scalable database environments, even with lean IT teams. 

For organizations considering outsourced DBA talent, HCD’s experience shows that Solvaria provides flexible, senior-level support that protects uptime, reduces costs, and adapts to growth.